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COVID-19 Therapies: Protease Inhibitions and Novel Degrader Strategies 新冠肺炎治疗:蛋白酶抑制剂和新型降解剂策略
Pub Date : 2022-04-13 DOI: 10.3389/fddsv.2022.892057
M. Reboud-Ravaux, C. El Amri
The global spread of severe acute respiratory syndrome corona virus-2 (SARS-CoV-2) variants is alarming. In addition to vaccines, effective antiviral agents are urgently needed to combat corona virus disease 2019 (COVID-19). In this review, we will give insights on several canonical approaches using current medicinal chemistry. They target host (TMPRSS2, cathepsins B/L, furin) and viral (3CLpro and PLPro) proteases involved in virus cell entry and virus production, respectively. Innovative mechanisms of drug action are now explored whereby the drug triggers a cellular event that reduces the level of disease-implicated protein or RNA. The potential therapeutic power of induced degradations of viral proteins by PROTACs and of RNA by RIBOTACs for the treatment of COVID-19 will be discussed. Degraders of host cell RNA-binding proteins (RNA-PROTACs) may also constitute a therapeutical opportunity. First applicated to oncology, these novel technologies may be of a particular interest to obtain therapeutics susceptible to act on mutated viruses.
严重急性呼吸综合征冠状病毒2型变异株在全球的传播令人担忧。除了疫苗外,还迫切需要有效的抗病毒药物来对抗2019冠状病毒病(新冠肺炎)。在这篇综述中,我们将对使用当前药物化学的几种经典方法进行深入了解。它们分别靶向参与病毒细胞进入和病毒产生的宿主(TMPRSS2、组织蛋白酶B/L、弗林蛋白酶)和病毒(3CLpro和PLPro)蛋白酶。目前正在探索药物作用的创新机制,通过该机制,药物触发细胞事件,降低与疾病相关的蛋白质或RNA水平。将讨论PROTAC诱导的病毒蛋白降解和RIOTACs诱导的RNA降解对治疗新冠肺炎的潜在治疗作用。宿主细胞RNA结合蛋白(RNA-PROTACs)的降解物也可能构成治疗机会。这些新技术首先应用于肿瘤学,可能对获得对变异病毒敏感的治疗方法特别感兴趣。
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引用次数: 2
Addressing Antibiotic Failure—Beyond Genetically Encoded Antimicrobial Resistance 解决抗生素失效——超越基因编码的抗生素耐药性
Pub Date : 2022-04-08 DOI: 10.3389/fddsv.2022.892975
Evan F. Haney, R. Hancock
Antibiotic failure can be defined as any clinical situation where treatment with antibiotics fails to cure the patient and remove the infection. Genetically-determined antibiotic resistance certainly contributes to antibiotic failure in the clinic, but this is not the only reason why antibiotics fail and it is likely not the most common cause of antibiotic failure. In this perspective article, we outline several widespread examples of situations where antibiotic treatment fails, even in the absence of formal resistance, including biofilm associated-infections (65% of all infections) as well as infections in sepsis (19.7% of all deaths) and immune compromised individuals. We then discuss various strategies that are being employed to address the issue of antibiotic failure and emphasize that antibiotic failure should be given increased awareness and resources to address this underappreciated but critical issue.
抗生素失效可以定义为任何使用抗生素治疗无法治愈患者并消除感染的临床情况。基因决定的抗生素耐药性肯定会导致临床上的抗生素失效,但这并不是抗生素失效的唯一原因,也可能不是抗生素失效最常见的原因。在这篇前瞻性的文章中,我们概述了抗生素治疗失败的几个广泛例子,即使在没有正式耐药性的情况下,包括生物膜相关感染(占所有感染的65%)、败血症感染(占全部死亡的19.7%)和免疫受损个体。然后,我们讨论了用于解决抗生素失效问题的各种策略,并强调应提高对抗生素失效的认识和资源,以解决这一未被充分重视但至关重要的问题。
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引用次数: 7
The Need for Speed and Efficiency: A Brief Review of Small Molecule Antivirals for COVID-19 对速度和效率的需求:COVID-19小分子抗病毒药物综述
Pub Date : 2022-03-30 DOI: 10.3389/fddsv.2022.837587
A. C. Puhl, T. Lane, Fabio Urbina, S. Ekins
While we currently have multiple highly effective vaccines approved for use against SARS-CoV-2 in the USA and other countries, there are far fewer small molecule antivirals approved to date. The emergence of the latest SARS-CoV-2 variant, Omicron which is heavily mutated in the spike protein, is also raising concerns about the effectiveness of these current vaccines and increasing the call for more therapeutic options. At the time of writing only remdesivir is approved by the FDA while molnupiravir (already approved in the United Kingdom) and Paxlovid (PF-07321332) have emergency use authorizations from the FDA. Repurposed molecules, such as dexamethasone and baricitinib, have been authorized for emergency use in some countries and are used in combination with remdesivir. After 2 years we are only now starting to see the progression of further molecules through animal models to assess their efficacy before clinical trials. As datasets accumulate from both in vitro and in vivo animal efficacy models, this may allow us to understand the physicochemical properties necessary for antiviral activity and enable the search for additional antivirals. We now summarize 25 small molecule drugs that are either approved, in the process of approval or in the pipeline for COVID which have both in vitro and in vivo data. We demonstrate that these drugs are structurally diverse and cover a wide chemistry space. This information may aid our understanding of what it takes to be a promising treatment for COVID-19 and propose how to discover antivirals faster and more efficiently for the next pandemic. Graphical Abstract
虽然我们目前在美国和其他国家批准了多种用于对抗SARS-CoV-2的高效疫苗,但迄今为止批准的小分子抗病毒药物要少得多。最新的SARS-CoV-2变体Omicron的出现也引起了人们对这些现有疫苗有效性的担忧,并增加了对更多治疗选择的呼吁。在撰写本文时,只有remdesivir获得了FDA的批准,而molnupiravir(已在英国获得批准)和Paxlovid (PF-07321332)获得了FDA的紧急使用授权。在一些国家,地塞米松和巴西替尼等重新利用的分子已被批准用于紧急用途,并与瑞德西韦联合使用。2年后,我们现在才开始通过动物模型看到进一步分子的进展,以在临床试验之前评估其功效。随着体外和体内动物功效模型数据集的积累,这可能使我们能够了解抗病毒活性所需的物理化学性质,并使我们能够寻找其他抗病毒药物。我们现在总结了25种小分子药物,这些药物要么已经获得批准,要么正在获得批准,要么正在准备用于COVID,这些药物都有体外和体内数据。我们证明了这些药物结构多样,覆盖了广泛的化学空间。这些信息可能有助于我们了解如何才能成为一种有希望的COVID-19治疗方法,并提出如何更快、更有效地为下一次大流行发现抗病毒药物。图形抽象
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引用次数: 8
Review of Clinical Trials of COVID-19 Vaccination Booster in SARS-CoV-2 Variants Era: To Take It or Not To Take It COVID-19疫苗增强剂在SARS-CoV-2变异体时代的临床试验综述:服用还是不服用
Pub Date : 2022-03-22 DOI: 10.3389/fddsv.2022.858006
M. Yan, Ming Yang, Ching‐lung Lai
Since the COVID-19 outbreak in China in 2019, the pandemic has spread globally. There is no definitive cure, but vaccines have greatly protected humans from symptomatic infections and severe complications. However, vaccine efficacy has been greatly reduced by the advent of SARS-CoV-2 variants worldwide. The World Health Organization has classified the variants into two groups: variants of concern (Alpha, Beta, Gamma, Delta, Omicron) and variants of interest (Lambda, Mu). Clinical trials and modifications of vaccines are currently undertaken to improve their clinical efficacies. This is particularly worrying in immunocompromised patients since breakthrough infections with multiple lineages of variants can pose a continuous threat of severe diseases in these vulnerable subjects, though there is no evidence showing immunocompromised patients are at a higher risk of vaccine-associated adverse events. However, there is no consensus on the schedule, benefits, and risks as well as contraindications (both absolute and relative) of receiving booster vaccinations. This review looks into the efficacy and safety of COVID-19 vaccination booster to guide clinical decisions on when and who to receive booster vaccination.
2019年中国新冠肺炎疫情暴发以来,疫情已向全球蔓延。没有确切的治愈方法,但疫苗极大地保护了人类免受有症状的感染和严重的并发症。然而,由于全球范围内SARS-CoV-2变体的出现,疫苗的效力大大降低。世界卫生组织将这些变异分为两组:令人关注的变异(Alpha、Beta、Gamma、Delta、Omicron)和令人感兴趣的变异(Lambda、Mu)。目前正在对疫苗进行临床试验和修改,以提高其临床疗效。这在免疫功能低下患者中尤其令人担忧,因为具有多种变异谱系的突破性感染可在这些易感人群中持续构成严重疾病的威胁,尽管没有证据表明免疫功能低下患者发生疫苗相关不良事件的风险更高。然而,关于接种加强疫苗的时间表、益处、风险以及禁忌症(绝对和相对)尚无共识。本综述探讨了COVID-19疫苗增强剂的有效性和安全性,以指导临床决策何时和谁接受加强疫苗接种。
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引用次数: 1
A Mini-Review of the Anticancer Properties of Cryptotanshinone: A Quinoid Diterpene Extracted From the Root of Salvia miotiorrhiza Bunge 从丹参根中提取的一种醌类二萜——隐丹参酮抗癌特性综述
Pub Date : 2022-03-10 DOI: 10.3389/fddsv.2022.815017
M. Naziri, Arezoo Ghafari, Hoda Mehrabi, Elham Ramezannezhad, Farzaneh Nazari, Arina Ansari, Farhad Nikzad, N. Deravi
Cancer is among the most life-threatening diseases worldwide. Along with conventional therapies like chemotherapy, surgery, and radiotherapy, alternative treatment approaches such as traditional Chinese medicine have attracted considerable public and scientific interest that could be beneficial for patients diagnosed with cancer. Salvia miltiorrhiza Bunge is greatly beloved for its roots and is extensively applied for various disease therapies, including cancers in traditional Chinese medicine. In this review, we intend to summarize the anti-cancer properties of Cryptotanshinone (CPT), an extract of Danshen (the root of Salvia miltiorrhiza Bunge), on different types of cancer.
癌症是全世界最威胁生命的疾病之一。除了化疗、手术和放疗等传统疗法外,中医等替代疗法也引起了公众和科学界的极大兴趣,这些疗法可能对癌症患者有益。丹参因其根而备受喜爱,被广泛应用于各种疾病的治疗,包括中医中的癌症。本文就丹参提取物隐丹参酮(Cryptotanshinone, CPT)对不同类型肿瘤的抗癌作用进行综述。
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引用次数: 2
Deep Machine Learning for Computer-Aided Drug Design 计算机辅助药物设计的深度机器学习
Pub Date : 2022-02-07 DOI: 10.3389/fddsv.2022.829043
J. Bajorath
In recent years, deep learning (DL) has led to new scientific developments with immediate implications for computer-aided drug design (CADD). These include advances in both small molecular and macromolecular modeling, as highlighted herein. Going forward, these developments also challenge CADD in different ways and require further progress to fully realize their potential for drug discovery. For CADD, these are exciting times and at the very least, the dynamics of the discipline will further increase.
近年来,深度学习(DL)带来了新的科学发展,对计算机辅助药物设计(CADD)产生了直接影响。其中包括小分子和大分子建模方面的进展,如本文所强调的。展望未来,这些发展也以不同的方式挑战CADD,需要进一步的进展才能充分发挥其药物发现的潜力。对于CADD来说,这是一个激动人心的时刻,至少,该学科的活力将进一步增强。
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引用次数: 6
The grand challenge of discovering new cardiovascular drugs. 发现新的心血管药物的巨大挑战。
Pub Date : 2022-01-01 DOI: 10.3389/fddsv.2022.1027401
Charles C Hong
Heart disease is the #1 killer worldwide, greater than all cancers combined. This is despite the fact that, in the developed world, there has been a substantial decline in cardiovascular mortality since the mid-20th century (Centers for Disease Control and Prevention (CDC), 1999), driven largely by a reduction in ischemic heart disease (Mensah et al., 2017; Nowbar et al., 2019). This decline is multifactorial, involving a reduction in tobacco use, changes in diet, treatment of hypertension, advances in rapid coronary revascularization, and the advent of β-hydroxy β-methylglutaryl-CoA (HMG-CoA) reductase inhibitors, and P2Y12 ADP receptor antagonists (Arnett et al., 2019). However, with the adoption of the Western diet and lifestyle in the developing world, and the rise in prevalence of cardiometabolic diseases and obesity, there has been an increase in the global burden of cardiovascular diseases (CVD) (Roth et al., 2020) and a stalling of improvements in the United States (Sinatra and Huston, 2020).
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引用次数: 1
Design and Synthesis of Brain Penetrant Glycopeptide Analogues of PACAP With Neuroprotective Potential for Traumatic Brain Injury and Parkinsonism 具有创伤性脑损伤和帕金森病神经保护作用的PACAP脑渗透糖肽类似物的设计与合成
Pub Date : 2022-01-01 DOI: 10.3389/fddsv.2021.818003
Christopher R. Apostol, K. Bernard, Parthasaradhireddy Tanguturi, G. Molnar, M. J. Bartlett, L. Szábo, Chenxi Liu, J. B. Ortiz, Maha Saber, K. Giordano, T. Green, James Melvin, Helena W. Morrison, L. Madhavan, R. Rowe, J. Streicher, M. Heien, T. Falk, R. Polt
There is an unmet clinical need for curative therapies to treat neurodegenerative disorders. Most mainstay treatments currently on the market only alleviate specific symptoms and do not reverse disease progression. The Pituitary adenylate cyclase-activating polypeptide (PACAP), an endogenous neuropeptide hormone, has been extensively studied as a potential regenerative therapeutic. PACAP is widely distributed in the central nervous system (CNS) and exerts its neuroprotective and neurotrophic effects via the related Class B GPCRs PAC1, VPAC1, and VPAC2, at which the hormone shows roughly equal activity. Vasoactive intestinal peptide (VIP) also activates these receptors, and this close analogue of PACAP has also shown to promote neuronal survival in various animal models of acute and progressive neurodegenerative diseases. However, PACAP’s poor pharmacokinetic profile (non-linear PK/PD), and more importantly its limited blood-brain barrier (BBB) permeability has hampered development of this peptide as a therapeutic. We have demonstrated that glycosylation of PACAP and related peptides promotes penetration of the BBB and improves PK properties while retaining efficacy and potency in the low nanomolar range at its target receptors. Furthermore, judicious structure-activity relationship (SAR) studies revealed key motifs that can be modulated to afford compounds with diverse selectivity profiles. Most importantly, we have demonstrated that select PACAP glycopeptide analogues (2LS80Mel and 2LS98Lac) exert potent neuroprotective effects and anti-inflammatory activity in animal models of traumatic brain injury and in a mild-toxin lesion model of Parkinson’s disease, highlighting glycosylation as a viable strategy for converting endogenous peptides into robust and efficacious drug candidates.
对治疗神经退行性疾病的治疗疗法的临床需求尚未得到满足。目前市场上的大多数主要治疗方法只能缓解特定症状,不能逆转疾病进展。垂体腺苷酸环化酶激活多肽(PACAP)是一种内源性神经肽激素,作为一种潜在的再生治疗药物,已被广泛研究。PACAP广泛分布在中枢神经系统(CNS)中,并通过相关的B类GPCR PAC1、VPAC1和VPAC2发挥其神经保护和神经营养作用,在这些作用下,激素表现出大致相同的活性。血管活性肠肽(VIP)也激活这些受体,这种PACAP的紧密类似物也显示出在急性和进行性神经退行性疾病的各种动物模型中促进神经元存活。然而,PACAP较差的药代动力学特征(非线性PK/PD),更重要的是其有限的血脑屏障(BBB)通透性阻碍了该肽作为治疗药物的开发。我们已经证明,PACAP和相关肽的糖基化促进血脑屏障的渗透并改善PK特性,同时在其靶受体处保持低纳摩尔范围内的效力和效力。此外,明智的结构-活性关系(SAR)研究揭示了可以调节的关键基序,以提供具有不同选择性的化合物。最重要的是,我们已经证明,选择的PACAP糖肽类似物(2LS80Mel和2LS98Lac)在创伤性脑损伤的动物模型和帕金森病的轻度毒素损伤模型中发挥强大的神经保护作用和抗炎活性,强调糖基化是将内源性肽转化为强健有效的候选药物的可行策略。
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引用次数: 6
In silico Immunogenicity Assessment for Sequences Containing Unnatural Amino Acids: A Method Using Existing in silico Algorithm Infrastructure and a Vision for Future Enhancements. 含有非天然氨基酸序列的计算机免疫原性评估:一种使用现有计算机算法基础设施的方法和未来增强的愿景。
Pub Date : 2022-01-01 Epub Date: 2022-10-10 DOI: 10.3389/fddsv.2022.952326
Aimee E Mattei, Andres H Gutierrez, William D Martin, Frances E Terry, Brian J Roberts, Amy S Rosenberg, Anne S De Groot

The in silico prediction of T cell epitopes within any peptide or biologic drug candidate serves as an important first step for assessing immunogenicity. T cell epitopes bind human leukocyte antigen (HLA) by a well-characterized interaction of amino acid side chains and pockets in the HLA molecule binding groove. Immunoinformatics tools, such as the EpiMatrix algorithm, have been developed to screen natural amino acid sequences for peptides that will bind HLA. In addition to commonly occurring in synthetic peptide impurities, unnatural amino acids (UAA) are also often incorporated into novel peptide therapeutics to improve properties of the drug product. To date, the HLA binding properties of peptides containing UAA are not accurately estimated by most algorithms. Both scenarios warrant the need for enhanced predictive tools. The authors developed an in silico method for modeling the impact of a given UAA on a peptide's likelihood of binding to HLA and, by extension, its immunogenic potential. In silico assessment of immunogenic potential allows for risk-based selection of best candidate peptides in further confirmatory in vitro, ex vivo and in vivo assays, thereby reducing the overall cost of immunogenicity evaluation. Examples demonstrating in silico immunogenicity prediction for product impurities that are commonly found in formulations of the generic peptides teriparatide and semaglutide are provided. Next, this article discusses how HLA binding studies can be used to estimate the binding potentials of commonly encountered UAA and "correct" in silico estimates of binding based on their naturally occurring counterparts. As demonstrated here, these in vitro binding studies are usually performed with known ligands which have been modified to contain UAA in HLA anchor positions. An example using D-amino acids in relative binding position 1 (P1) of the PADRE peptide is presented. As more HLA binding data become available, new predictive models allowing for the direct estimation of HLA binding for peptides containing UAA can be established.

任何肽或候选生物药物中的T细胞表位的计算机预测是评估免疫原性的重要第一步。T细胞表位与人白细胞抗原(HLA)通过氨基酸侧链和HLA分子结合槽中的口袋的相互作用。免疫信息学工具,如EpiMatrix算法,已经开发用于筛选天然氨基酸序列的肽将结合HLA。除了通常出现在合成肽杂质中,非天然氨基酸(UAA)也经常被纳入新的肽疗法中以改善药物产品的性能。迄今为止,大多数算法都不能准确地估计含有UAA的肽的HLA结合特性。这两种情况都需要增强预测工具。作者开发了一种计算机方法来模拟给定UAA对肽与HLA结合的可能性的影响,并由此扩展其免疫原性潜力。免疫原性潜力的计算机评估允许基于风险选择最佳候选肽,进一步在体外、离体和体内验证,从而降低免疫原性评估的总体成本。提供了在硅片上演示对一般多肽teriparatide和semaglutide制剂中常见的产物杂质的免疫原性预测的实例。接下来,本文讨论了如何使用HLA结合研究来估计常见的UAA的结合潜力,并根据自然存在的UAA“正确”地进行计算机估计。如本文所示,这些体外结合研究通常是在已知的配体上进行的,这些配体被修饰为在HLA锚点位置含有UAA。介绍了在PADRE肽的相对结合位置1 (P1)上使用d -氨基酸的例子。随着越来越多的HLA结合数据的出现,新的预测模型可以直接估计含有UAA的肽的HLA结合。
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引用次数: 0
Antifungal properties of (2S, 4R)-Ketoconazole sulfonamide analogs. (2S, 4R)-酮康唑磺胺类似物的抗真菌性能。
Pub Date : 2022-01-01 DOI: 10.3389/fddsv.2022.1000827
Benjamin E Blass, Sumant Puri, Rishabh Sharma, Brian M Day

Invasive candidiasis remains a significant health concern, as it is associated with a high mortality risk. In addition, the risk of infection is significantly elevated in immunocompromised patients such as those with HIV, cancer, or those taking imcmunosuppressive drugs as a result of organ transplantation. The majority of these cases are caused by C. albicans, and C. glabrata is the second most common cause. These infections are typically treated using approved antifungal agents, but the rise of drug-resistant fungi is a serious concern. As part of our on-going effort to identify novel antifungal agents, we have studied the in vitro antifungal properties of a series of sulfonamide analogs of (2S, 4R)-Ketoconazole. Herein we report on the in vitro activity against the key fungal pathogens C. albicans, and C. glabrata.

侵袭性念珠菌病仍然是一个重大的健康问题,因为它与高死亡风险有关。此外,免疫功能低下的患者,如艾滋病毒感染者、癌症患者或因器官移植而服用免疫抑制药物的患者,感染风险显著升高。大多数病例是由白色念珠菌引起的,而光滑念珠菌是第二常见的原因。这些感染通常使用经批准的抗真菌药物治疗,但耐药真菌的增加是一个严重的问题。作为研究新型抗真菌药物的一部分,我们研究了一系列(2S, 4R)-酮康唑的磺胺类似物的体外抗真菌性能。在此,我们报道了对主要真菌病原菌白色念珠菌和光秃念珠菌的体外活性。
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引用次数: 0
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Frontiers in drug discovery
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